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Journal ArticleDOI

Vasodilator therapy of heart failure. Has the promissory note been paid

Eugene Braunwald, +1 more
- 16 Feb 1984 - 
- Vol. 310, Iss: 7, pp 459-461
TLDR
It is reported in the Journal that a single oral dose of prazosin could improve the altered hemodynamics of heart failure and it was suggested that "vasodilator therapy is emerging".
Abstract
IN 1977 Miller et al reported in the Journal that a single oral dose of prazosin could improve the altered hemodynamics of heart failure1 Among the desirable characteristics of this alpha-1-adren

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Citations
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Journal ArticleDOI

A simple method for noninvasive estimation of pulmonary vascular resistance

TL;DR: Whether the ratio of peak tricuspid regurgitant velocity to the right ventricular outflow tract time-velocity integral obtained by Doppler echocardiography (TRV/TVI(RVOT)) provides a clinically reliable method to determine pulmonary vascular resistance (PVR) is tested.
Journal ArticleDOI

Haemodynamic effects of atrial peptide infusion in heart failure

TL;DR: The effect of a synthetic analogue of atrial natriuretic peptide (Ileu-ANP) on haemodynamic, hormonal, and electrolyte excretion indices was studied in patients with chronic congestive heart failure.
Journal ArticleDOI

ACE inhibitors--a cornerstone of the treatment of heart failure.

TL;DR: For many years digitalis and diuretic agents have been the cornerstones of pharmacologic treatment for patients with heart failure, but a potential therapeutic role for vasodilators was first suggested in 2012.
Journal ArticleDOI

Effect of vasodilators on survival in chronic congestive heart failure

TL;DR: Although advances in the medical treatment of systemic hypertension and myocardial infarction and the surgical treatment of congenital and valvular heart disease and multivessel coronary artery disease can prolong survival, CHF ultimately develops in many patients in later life.
Journal ArticleDOI

Oral amrinone for the treatment of chronic congestive heart failure: Results of a multicenter randomized double-blind and placebo-controlled withdrawal study

TL;DR: It is suggested that amrinone, in the dosages tested, does not importantly improve cardiac function beyond that provided by standard treatment with digoxin, diuretic drugs and vasodilators.
References
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Journal ArticleDOI

Sustained Effectiveness of Converting-Enzyme Inhibition in Patients with Severe Congestive Heart Failure

TL;DR: It is concluded that captopril reduces afterload in advanced congestive heart failure and induces sustained improvements in clinical status and renal function.
Journal ArticleDOI

Evaluation of a New Bipyridine Inotropic Agent — Milrinone — in Patients with Severe Congestive Heart Failure

TL;DR: It is concluded that milrinone shows promise for the longterm treatment of congestive heart failure and does not cause fever, thrombocytopenia, gastrointestinal intolerance, or aggravation of ventricular ectopy.
Journal ArticleDOI

Sustained reduction of cardiac impedance and preload in congestive heart failure with the antihypertensive vasodilator prazosin.

TL;DR: Prazosin benefits severe congestive heart failure by inducing a sustained fall of both cardiac preload and impedance, and reduces vascular resistance and venous tone in both forearms.
Journal ArticleDOI

Regression of left ventricular hypertrophy and prevention of left ventricular dysfunction by captopril in the spontaneously hypertensive rat

TL;DR: Chronic therapy with captopril produced a marked regression of cardiac hypertrophy and prevented the deterioration of cardiac performance in SHR with long-standing hypertension.
Journal ArticleDOI

Acute regional circulatory and renal hemodynamic effects of converting-enzyme inhibition in patients with congestive heart failure.

TL;DR: It is concluded that converting-enzyme inhibition reverses renal vasoconstriction in congestive heart failure and redistributes regional blood flow through improved renal plasma flow, reduction in filtration fraction, suppression of hyperaldosteronism, and lowering of circulatory catecholamine concentrations.
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